Lawless, David

Lawless, David was paid $458K by Medicaid between Nov 2020 and May 2023, across 6 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 76% of everything it billed.

33Billing provider infoLAWLESS, DAVID
JOHNSTOWN, PA 15905

33aNPI1194786681assigned 04/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$458K

24GClaims3,482

24DCodes billed6

24AFirst – last monthNov 2020 – May 2023

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#143 of 2,756

Median peer was paid$19K

This provider vs. median24×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	212	$19K
2021	1,273	$168K
2022	1,372	$186K
2023	625	$85K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	76%	1,264	1,261	$348K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	1,000	908	$39K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	6.5%	559	500	$30K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	4.7%	511	461	$22K
G9008	Coordinated care fee, physician coordinated care oversight services	4.3%	118	118	$20K
96127		<1%	30	28	$128.34

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.